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Previous issue date: 2010-10-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Brazilian health public assistance is going through two Reforms, Sanitary and Psychiatric,
and through these the assistance is guaranteed in the three levels: primary, secondary and
tertiary. Thus, mental health assistance should be offered since preventive cares until the
ones that demand larger technological apparatus. Programs like Health Community Agent's
Program (HCAP) and Family Health Strategy (FHS), besides increasing the services
coverage, have been making possible the system reorientation in the meaning of
integrality, universalization and equity. Thus, united intervention of mental health team
and FHS can offer several benefits to the population, providing assistance and follow-up to
patients with mental disorder. It was aimed to assess health community agents facing the
user of Family Health Strategy in depressive state. This quanti-qualitative study took place
in the municipal district of Abaiara-CE. Semi-structured interview was applied with health
community agents and Beck Depression Inventory with the users registered in Family
Health Strategy. It was verified that among the 64 users interviewed, 12.5% didn't present
symptoms of depression, 10.9% presented symptoms of light depression, 14.1% symptoms
of moderate depression and 62.5% symptoms of serious depression. For the 22 health
community agents interviewed, they all reported the existence of people with symptoms of
depression in their personal micro-areas, being difficult to work with them, once the FHS
team is not qualified to work with mental health problems. It was verified that the
Municipal district doesn't have specialized professionals, making difficult the routing and
treatment. Based on these results, it was concluded that in spite of the articulation of
mental health with FHS is necessary and benefactor to the population, it still doesn't exist,
worsening the situation, mainly in small Municipal districts, once they don't have mental
health services. Thus, the population is exposed and without follow-up, which allows the
identification of installed diseases and with gravity, like depression, because there are no
prevention and control activities. It is recommended, due the extreme need, the elaboration
and implantation of a mental health program in these municipal districts, articulated with
FHS / A assist?ncia p?blica ? sa?de brasileira perpassa por duas Reformas, a Sanit?ria e a
Psiqui?trica, e trav?s destas garante-se a assist?ncia nos tr?s n?veis: prim?ria, secund?ria e
terci?ria. Neste sentido, a assist?ncia ? sa?de mental deve ser prestada desde os cuidados
preventivos at? os que exigem maior aparato tecnol?gico. Programas como o Programa de
Agentes Comunit?rios de Sa?de (PACS)/ Estrat?gia Sa?de da Fam?lia (ESF), al?m de
ampliarem a cobertura de servi?os, t?m possibilitado reorienta??es do sistema no sentido
da integralidade, universaliza??o e equidade. Assim, a interven??o conjunta da equipe em
sa?de mental e a ESF podem oferecer diversos benef?cios ? popula??o, proporcionando
assist?ncia e acompanhamento aos portadores de transtorno mental. Desse modo,
objetivou-se avaliar as a??es dos agentes comunit?rios de sa?de diante do usu?rio da
Estrat?gia Sa?de da Fam?lia com estados depressivos. Este estudo do tipo quantiqualitativo,
realizou-se no munic?pio de Abaiara-CE. Aplicou-se a entrevista
semiestruturada com os agentes comunit?rios de sa?de e o Inqu?rito de Beck aos usu?rios
cadastrados na Estrat?gia Sa?de da Fam?lia. Verificou-se que dentre os 64 usu?rios
entrevistados, 12,5% n?o apresentaram sintomas depressivos, 10,9% sintomas de
depress?o leve, 14,1% sintomas de depress?o moderada e 62,5% sintomas de depress?o
grave. Os 22 agentes comunit?rios de sa?de entrevistados relataram a exist?ncia de pessoas
com sintomas depressivos em suas micro ?reas e destacaram a dificuldade em atuar junto a
esta clientela, pois para eles a equipe da ESF n?o se encontrava capacitada para lidar com
problemas de sa?de mental. Constatou-se que o Munic?pio n?o dispunha de profissional
especializado, o que dificultava o encaminhamento e tratamento. Com base nestes
resultados, concluiu-se que apesar da articula??o da sa?de mental com a ESF ser necess?ria
e benfeitora ? popula??o, esta ainda ? inexistente, agravando a situa??o, principalmente em
munic?pios de pequeno porte, uma vez que estes n?o disp?em de servi?os de sa?de mental.
Assim, a popula??o permanece exposta e sem acompanhamento, o que permite a
identifica??o de doen?as instaladas e com gravidade, como a depress?o, por n?o haver
atividades de preven??o e controle. Recomenda-se a elabora??o e implanta??o de um
programa de sa?de mental nestes munic?pios, de forma articulada com a ESF
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14711 |
| Date | 26 October 2010 |
| Creators | Costa, Tarciana Sampaio |
| Contributors | CPF:04960360330, http://lattes.cnpq.br/9242337504601387, Farias, Francisca Luc?lia Ribeiro de, CPF:04304900382, http://lattes.cnpq.br/3124165737602160, Tourinho, Francis Solange Vieira, CPF:78150361987, http://lattes.cnpq.br/5614479933447169, Enders, Bertha Cruz, CPF:25444816415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781295D6&dataRevisao=null, Miranda, Francisco Arnoldo Nunes de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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